Kadınlarda Uyku Sorunlarının Menopoz İle İlişkisi

Bu çalışma, kadınlarda uyku sorunları ve menopozal durum ilişkisini saptamak amacıyla yapılmıştır. Tanımlayıcı türde bir kayıt araştırmasıdır. PubMed veritabanında “menopause and sleep disturbance” anahtar kelimeleri girilerek makaleler taranmıştır. 2007-2011 yılları arasında yayınlanmış 135 makale örneklemi oluşturmuştur. 135 makale arasından, konuyla ilişkili, araştırma makalesi olan ve özet metnine ulaşılabilen 25 araştırma, örneklemi oluşturmuştur. Birçok çalışmada postmenopozal dönemdeki kadınların uyku sorunları yaşadıkları görülmüştür. Uyku sorunları; uykusuzluk, uykuya dalma süresinde uzama, derin uykuda azalma, uyuma güçlüğü, uyanmalar, uyku süresinde kısalma, uyku verimliliğinde azalma, uyuduktan sonra uyanık kalma süresinde uzama, gündüz uykulu olma sıklığında artma, obstrüktif uyku apnesi sendromu riskinde artma şeklinde görülmektedir. Bunun yanısıra uyku sorunlarının menopozla ilişkisi olmadığı da bildirmektedir. Bu araştırmalar; toplam uyku yoksunluğu, toplam uyku süresi, uykuya dalmada güçlük, uyku bölünmeleri ve horlamanın menopozdan bağımsız olduğunu göstermektedir. Kadında postmenopozal dönemdeki sıcak basmaları; uykusuzluk, gece uyuyamama ve uyku bölünmelerine neden olmaktadır. Bir çalışma; menopozal geçiş döneminde sıcak basmalarıyla uykusuzluğu ilişkilendirmemiştir. Bazı çalışmalarda ise; kadınlarda uyku bozukluğu, vazomotor semptomlara bağlı değil, depresyona sekonder olarak geliştiği ileri sürülmüştür.

Anahtar Kelimeler:

Menopoz Sonrası, Uyku Bozuklukları, Hemşirelik

Relationship Between Menopause And Sleep Problems

This study carried out for determination the relationship between women's sleep problems and menopausal status. This study was planned as a descriptive and survey research. This study was done by searching with key word “menopause and sleep disturbance” researches on Pub Med. The sample of study was composed of 135 abstracts of researches between 2007 and 2011. This research was carried out by examination of 25 research abstracts (relevant to the subject, research article, have abstract) from 135 researches. Many studies showed postmenopausal women have sleep problems. Sleep problems seen in the form of insomnia, prolonged sleep latency, deep sleep decreases, difficulty sleeping, awakenings, shorter sleep time, decreased sleep efficiency, more wake time after sleep onset, increased daytime sleepiness, increased risk of obstructive sleep apnea syndrome. In addition, some researchers have reported sleep problems not related to menopause. This researches, shows total sleep deprivation, total sleep duration, difficulty falling asleep, snoring and sleep fragmentation is independent of menopause. Postmenopausal women's hot flashes, cause insomnia, nighttime wakefulness and sleep disruptions. In one study, the period of transition to menopause is not associated insomnia with hot flashes. In some studies, have been proposed sleep disorders at women, is not associated with vasomotor symptoms, develop secondary to depression. Sleep problems are more common in women with postmenopausal period. The postmenopausal period, sleep problems associated with vasomotor symptoms or depressive mood.

Keywords:

Postmenopausal, Sleep Disorders, Nursing,

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